Provider Demographics
NPI:1285731422
Name:BARNES, JAIME (DC)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:
Last Name:BARNES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 ROYCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-4019
Mailing Address - Country:US
Mailing Address - Phone:407-361-0956
Mailing Address - Fax:
Practice Address - Street 1:14050 TOWN LOOP BLVD
Practice Address - Street 2:105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6190
Practice Address - Country:US
Practice Address - Phone:407-447-7001
Practice Address - Fax:407-447-7006
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL885872Medicare ID - Type Unspecified
FLV08715Medicare UPIN